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�, <br />,�.Ew,�„,�'' APP�ICATION FOR � <br />°�r°° CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA9B201 �COMYINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />JMon 4- �3/nck 9oc� ��Q...,T ��eE;• 98Toi zs8-2S9/ HC'3�8 <br />�I I����IIv.0 CONLP�CiOF n MAII �OORLSS tIIY 21P PMONE LICFNSF / <br />(�/ / / <br />'i>err..o ki /l� �ii� L��/C �CC.+�b✓. ��er�.T �%(�2C3 3.53-T13"7 <br />lt 7I U�� Uf NONK <br />/�NEK' ❑ADDITION nALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BURDING RELOUTION <br />V11l'1110N01 WORK � �� <br />+ 8'DOnU f _ . <br />U/I,j/CNINI WORA <br />/onc�.-�r.�?,__� �� A iiielcx <br />USf OI PI.9IUINC <br />� hUl �ISCNI]iION Oi PROPFRiY ISHOWN flfLOW iSR Aii�CN fOUR COPIl51 <br />iiii�nioc�_a� �rAN4RST ES%9TerT <br />�ico�-aVr� a// Jn.�{c....�,L, .�...,Sr <br />_� <br />�`✓��7't. // �C./.tr...�.r,ra..� '�'-1-2 <br />wx+� <br />'SS� T Sw <br />Pt�NG <br />NO. TY�E OF FI%TURE <br />,j W�TFR CLOSET �TOLIET� <br />BATMTUB <br />.0 LAVATORY�WAShIBA51N) <br />OISWASHE0. <br />LAUNDRY TRAY <br />CLOTMES WASHER <br />WA7fR HEATFR <br />URINAL <br />UP�NK�NGfOUNTAIN <br />fIOOR DRAIV <br />VACUUid BftFAKF0.5 <br />ROOf DRAINS—NAINLFAO <br />SINK 6FRVICf —9AR, ETC ) <br />SU� iOTAI <br />SIDF YARD 5[TAACK STREET SUNACF <br />..S'' �o' <br />USE ZONE LOT ARU <br />�� z 8sa <br />TYPF OF CONST �n _. 1. OCCUPANCY GROI <br />Z� i.7 1 � '� <br />� <br />SIZE Of 9LDG NO Of $TORIES <br />'3 � � S <br />A►�IIOVALS <br />1 ENVIRONMENTAI CMfCK LIST <br />7 BWLDING PUNS <br />7 RRf HYDRANT <br />� flqF 70.0TECTION SYSTFM <br />5 GRADiNGIf%UVATION6ClkANINGGNUNflING <br />b DRAINACF <br />7 ENVIRONMFNTAL IMPACT $TATFMENT <br />E HE�LTM DISTRICT <br />APPIICATION ACC BY PLAN$ CME�:KED BV <br />L�i � � <br />74 79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO B� TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDI�ANCE$ GOVEP.NING THIS TYPE <br />OF WORK WIL! BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OP. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TiIE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTH00.12E0 AGfNT OATE <br />MECHANIUL <br />FEE NO. TYPE OF EQUIPMENT <br />AB COND UNIiS-HP. EA <br />REFRIGF0.ATION UNIT$-HP. FA <br />l �f� POILERS -N P EA <br />CAS RRFD AC UNIT$-TONNAGE EA <br />� fORCED AIR SYSTEMS-B T U M EA <br />WALL MEATFR$-B T U M <br />UNITMEATfkS-BTU M <br />(� EVAPORATIVE COOLERS <br />0 CLOTHFS DRYF0.5 <br />VENiILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT- C f M. <br />S70VE <br />2 METAL FIREPLACE 8 CMIMNEY <br />�s <br />HUR YARD SETBACK <br />2 c� ` <br />vACANT SIIF <br />�f5 ��o <br />YO Of OWELLING UNI <br />sr I DA7F <br />APPR FOR ISSUANCE BV <br />PIAN CH[CK NUMBEN <br />SU�iOTAI f <br />►FRMI7 f <br />TOTAL FEE f <br />PLAN CMECK FEE <br />FFE � 0.KFIPTNO. <br />a -� r <br />VALUA710N il <br />OUIIDINC s�� � � <br />PLUMNwC <br />MECMANIUI <br />OTMER <br />PENALTV U.B C <br />SK 30Ha1 <br />70TA1 <br />►ERMIT VAIID�TION <br />WMEN PROPERLY VALIOATFD pN THI$ $PACE) THIS IS YOUR PERMIT <br />